NPI | 1851963813 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: TX V1052) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT224220) |
Enumeration Date | 2021-07-10 |
Last Update Date | 2024-06-20 |